Document Detail


Optical coherence tomography findings in a case of acute coronary syndrome caused by coronary vasospasm.
MedLine Citation:
PMID:  20716848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Culprit lesions of acute coronary syndrome (ACS) were observed by intravascular optical coherence tomography (OCT). OCT images revealed diffuse intimal thickening, reduced lumen area with vascular contraction, and thrombus formation. No OCT images of atherosclerotic plaque disruption were found. Vascular contraction disappeared and the lumen was dilated after intracoronary injection of nitroglycerin. The main mechanism of ACS in this case was therefore considered to be coronary vasospasm. OCT may be useful for evaluating the mechanism of ACS.
Authors:
Nobuaki Kobayashi; Masamichi Takano; Noritake Hata; Masanori Yamamoto; Takuro Shinada; Yasuhiro Takahashi; Kazunori Tomita; Mitsunobu Kitamura; Kyoichi Mizuno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International heart journal     Volume:  51     ISSN:  1349-2365     ISO Abbreviation:  Int Heart J     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-18     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101244240     Medline TA:  Int Heart J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  291-2     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School, Inba, Chiba, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / complications*,  diagnosis*,  therapy
Adult
Coronary Vasospasm / diagnosis*,  etiology*,  therapy
Humans
Male
Tomography, Optical Coherence

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